Physiotherapy

Role of the Physiotherapist in MS

Physiotherapists play an important role in the management of MS. They specialise in the assessment and treatment of many symptoms associated with  MS, such as muscle weakness, spasticity, reduced balance, pain, gait and postural problems. The Physiotherapist also plays a vital role in communicating with other members of the Multi-Disciplinary Team to ensure holistic treatment of the client.

In the MS Therapy Centre, Physiotherapy can be provided either on a one-to-one or group basis. Group sessions consist of Circuit Classes, Mat Classes (floor exercises), Pilates and Hydrotherapy. We also have access to a range of equipment such as a Vibroplate, Treadmill, Exercise Bike, Upper & Lower Limb Active-Passive Trainers, Shoulder Pully systems, and a Nintendo Wii, all to promote improved fitness.

Benefits of Physiotherapy and Exercise Programmes in MS

For many years, people with MS had been advised to avoid exercise as during exercise body temperature rises, which can often result in worsening of symptoms due to what is called the ‘Uhtoffs Phenomenon’. Also by avoiding exercise, individuals especially who suffered from fatigue believed they were preserving their energy.

Over the last decade however, this advice has completely changed, as research now shows that exercise in patients with mild to moderate MS provides similar fitness and psychological benefits as it does in healthy controls (White & Dressendorfer 2004). A fitter, stronger person will be better equipped to deal with an exacerbation of the disease, will be able to rehabilitate quicker and might even prevent a relapse with the aid of regular exercise (Gilligan F. 2009).

Studies have also shown that worsening of symptoms during exercise as described previously is only temporary, usually normalising within half an hour after exercise.

In September 2009 the preliminary results of a research programme entitled “Getting the Balance Right” carried out by MS Ireland, in conjunction with the University of Limerick, was launched. Participants ranged from being independently mobile to wheelchair users. Below are some of the symptoms which showed improvement from the Physiotherapy and Exercise groups :

Exercise Classes

In the MS Therapy Centre we provide two circuit classes per week based on the programme “Getting the Balance Right”. There are ten different stations in the class at which clients spend four minutes each.

Our mat class combines different strengthening and stretching exercises for upper and lower limbs.

Hydrotherapy

We also provide exercise classes in the water which include strengthening exercises & balance exercises followed by stretching and relaxation, as recommended by general guidelines of exercise in water for people with MS.

Several research articles support the use of aquatic exercise for people with MS. Benefits include :-

• Improved muscle strength
• Improved cardiovascular fitness
• Improved gait & mobility
• Increased quality of life or sense of wellbeing

Pilates

Pilates is a Mind-Body exercise which focuses on strengthening the pelvic floor and deepest abdominal muscles, while maintaining normal alignment and good posture. It also incorporates lower leg strengthening exercises which is very beneficial for people with MS.

We currently teach one Pilates class per week in the MS Therapy Centre. Research has shown that benefits of Pilates includes :

• Increased core strength & stability
• Improved posture
• Enhanced balance and coordination
• Heightened mind-body awareness
• Relief from back pain
• Injury Prevention

Access to Physiotherapy

Physiotherapy services at the MS Therapy Centre can be accessed via self-referral, GP or Neurologist referral.